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Oklahoma rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $3,162 · 10th–90th $145–$7,0790%10%10th90th$3,162$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $2,398.83 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $5,011.87 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $144.54 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $562.34 / $1,548.82